Individual
ANN TU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
600 NE 8TH ST, GRESHAM, OR 97030-7317
(503) 988-4900
Mailing address
600 NE 8TH ST, GRESHAM, OR 97030-7317
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
D8021
OR
Other
Enumeration date
11/01/2006
Last updated
07/08/2007
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